HomeMy WebLinkAboutPermit Building 1996-12-09OTT OF
SPFIrlGFIELD
RESIDENTIAT PER}IIT APPI.ICATION
CITY OF SPRINGFIELD
COMMI'NTTY SERVICES DIVISION
BUIIJDING SAFETY
Page 1
Job Nnnber: 96L443
225 North Fifth Street
Springfield, OR 97477
Location of Propoeed Work! 357 35TH ST
Assessors t"tap #: L7o23L24
Lot: 2 Block:
Office
Inspection Line
726 -3759
726 -37 69
Tax Lot #:
Subdivision:
]-2600
95-05-99
OWNET: DENNTS/BARBARJA WARD
Address: 345 35TH STREET
Describe WorK : MAI{UFACTI,RED HO}IE
Phone #: 746-738L
city/staEe/zrp: SPRTNGFTELD, OREGON 97478
NEW
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE usE --
LAND USE: 111L
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1385
To request an inepection, call the 24 hovr recording al 726-3769.
A11 inspections request,ed before 7:00 a.m. will be made the same working day,
inspect,ions request,ed after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTIONS ---
FOOTING - After trenches are excavated.
SAI{ITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior Eo filling trench.
STORI{ SEWER LINE - Prior to filling trench.
ldAlIuF HoldE/MoBILE HOME SET UP - When a}l blocking j-s compf ete.
MAI.IUF. HODTE/MOBII.E HOME ELECTRICAI, - WhCN bIOCKiNg, SEtUP, ANd
plumbing inspections have been approved and home is connected to panel
UAI'IUP. HOIIE/MOBIIJE HOME PLITMBING - After home has been connected to
water and sewer.
CURBCUT - After forms are erected but prior to placement. of concrete.
SIDEWALK - After excavation is compleEe, forms and sub-base material
in place.
FINAL SET UP - After all required inspections are approved and porches
skirLing, decks, venting, house numbers, etc. have been inst.all-ed.
Lot Type: PANHANDLE
Item
Main
Garage
FTG/PERIM FOI]NDATION
Total Value
Building Permit Fee
Surcharge/aamin
--- BUILDING PERMIT
Square Feet x $/Square Feet VaLue
35, 105 . 00
0.00
7,865.00
43 ,97L . OO
68. s0
5 .49
TOTAL FEE (A)73.99
.fob Number: 95L443
OTT OF SPruNGFIEID,
Page 2
--- SYSTEMS DEVEI,OP}TEIIT CHARGE (SDC)
(B)2,433 .L2
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growt,h Boundry which are being improved.
--- PLUIIBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Plumbing Permit
Surcharge/aamin
TOTAL CIIARGE
150
150
150
Fee
40.00
40.00
40.00
l_20.00
9.50
(c)
--- MISCELLAI{EOUS PERI'IITS ---
Mobile Home
State Issuance
Surcharge/eOmin
Sidewalk
Curb Cut
WILLAMALANE SDC
TOTAL MISCETLAI.IEOUS PERMITS
105.00
20.00
8.40
13 .50
13.50
1,000.00
(E)1,150.50
(Excluding EIectsrical )
unlese otherwise noted
--- TOTAI. A}{OI'}il:T DUE ---
(A, B, C, D, and E combined)3 ,? 97 .3L
--- BUILDTNG VALUE, PIJAN CHECK AI{D BUILDING PERMIT ---
This permiE is granted on the express condition that the said construction
shall-, in alL respects, conform to t,he Ordinance adopted by the City of
Springfield, including the Development, Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Feez 44.53 Date paid:
Received By:
Plans Reviewed By: LISA HOPPER Date:
Building Site Reviewed By: LfSA HOPPER
1.0/23/e6
1,1,/1,s/96
Receipt Number: 23572
--- ADDITIONAI. COMME}flTS ---
A & T ESTIMATE ONLY. INDIVIDUAL LOTS NOT LISTED
rN couNTY SYSTEM AS OF tO/3L/96
DRIVEWAY REQUIRED TO BE PAVED
By aignature, I atate and agree, that I have carefully examined
the completed application and do hereby certify Lhat all information hereon
is true and correct, and I further cerEify that any and all work performed
shal} be done in accordance wit,h the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that, NO OCCUPANCY will be made of any sLructure without, permission of the
Community Services Di.vision, Building Safety. I furt,her certify that only
contractors and employees who are in compliance wit,h ORS 70L.055 will be
used on this project.
SPR!NGFIELD
L29.60
CITY OF SPruNGFTELD,
SPF!ilGF!ELD
Job Number: 961,443 Page 3
I further agree to ensure that all required inspections are reguesued at theproper time, that, each address is readabl-e from the street, that the permit
card j-s locat,ed at the front, of the property, and the approved set of plans
wil-I remain on the site at all times during construction.
a 1zL
Signat,ure nil -7
--- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By
/z- 7 -7G
CITY OF SPruNGFIEII',
SPFIi.GFIELl,
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDEMTIAL)
Name or Company: DENNTS/BARBARA WARD
Locationz 357 35TH ST
Developement T)T)e: R Building Size:
Job No. : 95t443
Lot Size Sq Ft
].. STORM DR,AINAGE
Impervious Sq Ft
2. SAI.IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRJAI{SPORTATION
Number Of Units
1X
x
Transportation Tota]
4. SAI'IITARY SEITIER - MIIMC
Number Of PFUS
18
X 0.2a6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
45L.26
327 9
18
Trip Rate
1.010 x $4ss.77
$708.26
$8os. s0
$45s.77
$382.42
$34.70
$347 .72
$2,3L7 .26
$11s . 86
x
Per PFU +
20.690 +
MWMC Admin Fee
10.00
MI^MC CREDIT If Applicable (see eage 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTR.ITIVE FEES
Base Charge (Subtotal above) x 0.50
TOTAI. SDC
Reviewed By: DENNfS ERNST Date:1,t/OL/96
i2 ,433 .12
qTT OF SPilNGFIEI.D,
SPFINGFIELCl
Job Number: 95L443 Page 2
FIXTURE I'NTT CAI,CUIJATION TABLE
Fixt,ure Type
Number of
New Fixture
Unit
Eguivalent
Fixture
unr_ts
BathEub
Drinking Fountain
Floor Drain
Interceptors For Grease/oi1/sol-ids/Btc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 or More
Receptor For Refrigerator/Water Station/Stc
Receptor for Commercial- Sink/Dishwasher/Etc
Shower, Single Sta11
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
UrinaI, Stall/Wa11
Wash Basin/Lavai'ory, Sing1e
water Closet, PubIic InstallaEion
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =18
CREDIT CALCIILATION TABLE: Based on assessed va1ue. ff improvements occured
after annexation date, credits are calculated separately
(cal-cuLations are by $1000)
Year Annexed: ]-969
Credit For Parcel or Land only If Applicable: 10,000 x 3-47 = 34.70
Improvement (if after annexation date): 0 X 3.47 = 0.00
CREDIT TOTAL = $34.70
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
2
t_
2
3
5
2
A
1
3
2
z
2
1
5
4
0
0
0
0
1
0
0
0
0
0
t_
0
2
0
z
0
4
0
0
0
n
)
0
0
0
0
0
2
0
-
8
0
CITY OF OREGO'V
SPFlth(iFlELEl
DEVELOP M ENT S ERVIC ES DE PARTM ENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (s41) 726-368s
MANUFACTURED HOME SET.UP AGREEMENT
As required by the City of Springfield Development Code, I understand and
the one of the following manufactured homes will be
Springfield, Oregon, City Job Number
Type I Manufactured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square fee!
that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or
roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting
performance standards which reduce heat loss to levels equivalent to t[e perfqrmance standards required
for single family dwellings at the time of construction. l) C t- ) initials
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square fee! that has a
nominal roof pitch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofing,
and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance
standards which reduce heat loss to levels equivalent to the performance standards required for single
family dwellings at the time of construction.initials
I further state, by my signature below, that I have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent steps.
I also understand that ttre manufactured home shall be placed on an excavated and backfilled foundatiotr
not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
thar.Z4 inches of the enclosing material exposed above grade.
t),/ ? / ?6
Signature Date / /
Rp ESIDENTIAL
ERMIT APPLICATION
rspectlons: 726€769
fflce: 720.3759
SPFlING FIELO
LOCATION OF PROPOSED WO RK:
3tASSESSORS MAP:
LOT BLOCK:
To rsquest an lnspectlon,
made the same worklng ,
Temporary Electrlc
Slte lnspectlon - To be madoafter excavatlon, but prlor tosettlng lorms.
sfh Sl
J-l Rough Etecrrlcal - prlor tolJ cover.
Eleclrlcal Servtco - Must beapprovod to obtaln permanent
olectrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
[--l Framlng - prtor to cover.
WallrC'elllng ln
cover.
i
sdlatlon - prlor to
Drywall - Prlor to taplng
Wood Stovo - Aftor lnstallatlon.
JOB NUMBER
q
225 Flfth Street
Sprlng fleld, Oregon 97477
r
Flnal Plumblng - When altplumblng work ls complete,
Flnal Electrlcal - \A,{lren allelectrlcal work ls complete.t
nal Mechanlcal - When allchanlcal work ls complete.
Flnal Bulldlng - When all
requlred lnspecflons have beenapproved and bulldlng ls
complotecl.
MOBILE HOME INSPE TIONS
Blocklng and Set.Up - Whep ailblocklng ls complete.
Electrlcal Connectlon - When
blocklng, set.up, and plurpblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Flnal - After all requlred
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnslalled.
ln
o
SUBDIVISiON
' you must call 726'3769. Thls l8 a 24 hour recordlng. All lnspectlons requested before 7:00 a.m, wlll beday, lnspectlons requested after 7:00 a.m. wlll be made the foilowlng work day.
REOUIRED INSPECTIONS
Rough Mechanlcal - prlor to
cover.
[-l Underslab Plumbtng/Electrlcal/
-
Mechanlcal - prlor to cover.
I-l Masonry - Stoel tocailon, bonctu beams, groutlng.
Foundallon - Aftdr forms are
erected but prlor to concrete
placement.
l-l Unaerground Plumbtng - prtor.lJ to fllllng trench.
Undertloor Plumblngt Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer - Prlor to lllllng
trench.
[-l lnaert - After flreplace approval
-
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor to
placgmenl of concrete.
Sldewalk & Drlveway - After
excavatlon ls completo, forms
and sub.base materlal ln place.
Street Tlees - When all requlred
trees are planted.
Water Llne - Prlor to fllllng
lranch.
Rough Plumblng - Prlor to
cover.
ZIP:
I S+
PHONE:I
STATE:L
rtqb-13OWNER:
ADDRESS:
CITY:
-L
-onBESCN!9E WORK:
DEMOLISH OTHER
NEW- BEMODEL ADDITION
ADDRESS EXPIRES PHONE
9r
CONTBACTOR'S NAME
GENERAI.:
MECHANICAL:
PLUMBlNG:
CONST,
CONTRACTOR #
- oFFlcE USE -
SECONDARY HEAT: _
r OF BDRMS:
SQUARE FOOTAGE
OUAD AREA:
r OF BLOGS:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
.r OF UNITS:
-
ZONING CODE:_-.
FLOOO PLAIN:
RANGE:
tl
E
tf
Footlng - After tfenches are
excavat6d.
l-l Fence - When completed.
[--l other
l-l Ptumblng Connectlons - WhentJ home has been connecled to
water and sewer,
WATER HEAtrER:-
E
',,,,iI, \'
BUILDING PERMIT
ITEM SO. FT.
Maln
Gaqage
Carport
X $/SQ. FT.VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the €xpress condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the Clty of Sprlngfleld, includlng the
Dovelopment Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlslons of sald ordlnances.
Plan Check Fee:
Date Paid
Becelpt Number:-
Recelved By:
Plans Rovlewed By Dato
VALIDATION
Total Value
Bulldlng Permit Fee
State Surcharge
Total Fee (A)
u(
RECEIPT N
DATE PAID
UM ER
AMOUNT FIECEIVE
( IS THE PROPOSEO WORK IN THE -
HISTOBICAL DISTBICT, OR ON
,,.TH E H ISTORICAL REGISTER?
lf yes, thls appllcatlon must bE slgned
and approved by the Hlstorlcai
Coordlnator prlor to permlt lssuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot cov€rago
Topography
Total [elght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
P.L,HSE GAB ACC
N
S
E
Setbacks
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles wlthln tho Clty llmits which are being lmprovecl.
ADDITIONAL COMMENTS
ITEM
Flxturest
Besidentlai Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
(\-)
PLUMBING PERMIT
Plumblng Permit
State. Surcharge
Total Charge
Wood S.tove/ lnsert/ Flreplace Unlt
Dryer Vent
l5 0()
( tr)
oo
-+ZD2
N0Vent Fan
Mechanlcal Permlt
lssuahce
State Surcharge
Total P€rinit
MECHANICAL PERMIT
Furnaco
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that alt
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all wor!< performed shall be dono In accordance
wlth tho Ordlnanccs of the Clty of Sprlngf leld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permlsslon of the Bulldlng Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compllance wlth ORS 701"055 wlll be usod on thls
prolect.
I further ag;ee to ensure thai aii rflq:.ilie.i ins;,,eciicns are
roquested at the proper tlme, that oactr address ls readahlo
from tho street, that the permlt card ls iocated at the front
of tho property, and tho approved set ol plans wlll remain
Slgnature
3Date
on the slte all mes durlng constructlon.
MISCELLAN EOUS PERM ITS
Moblle Homo
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Domolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (exctudtng c,(4, B, C, D, and E Comblned)
'lc al)
FIECEIVED BY
,
FT.
FT.
W
C'TY OF SPRINGFIELD, OBEGO'V
225 YTFT,E STREET
SPRTNGFTEI,D, OREGON 974
INSPBCTION REQUBST3 72
OFPICE: 726-3759
c
sPR\ ,'IELD
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
UnC EI,ECTRI
City Joil nut
3. COHPI.BTB FEE SCEEDTII,B BELOS
Nev Residential-Single or
Mu1ti-Family per dvelling unit.
Service Included:Items Cost
,CAL PERI{IT APPLICATION
,v N*a", ?4/7/3
Sum
1.LOCATION OP INSTALI.ATIONz57 /V3577r-
I.,EGAL DESCRTFTION
JOB DBSCRIPTIONa-*/
Permits are non-transferable and re
if vork is not started vithin 180 days
of issuanee or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ty /o Yhone 6,(/- O4Oi
Supervisor License Number ,/16?S
Expiration Date
Constr Contr. Number j57/43r/
Expiration Date
Signa trician
Owners Name k/
Address
ciryWpnone ?4/-Z{ZZ
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Lease or rent.
0vners Signature:
DATE:
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _
601 amps to 1000 amps_
Over L000 amps/volts
Reconneet On1y
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 8s.00
s 1s.00
Z S 4o.oo glg
40. 00
s5.00
80.00
ee rrBrr aEove
A
B
C
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
$
$
$
s
200 amps or less
201 amps to 400 amps
-Over 40L to 600 amps
Over 600 amps or 1000EIs
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscel-laneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
$ 40.00
$ 40.00
s 20.00
s 36.00
5
RECEIVED
e
$Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAM PHONE:
ADDRESS:STATE:ZIP:
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
Single Family home Manufactured home not in a Park
NO. OF UNITS I X $1,000 per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 Per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS X $699 per unit = $
l(T[).WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet-
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if sDc for Credit)
$
I
$
7
CD
Z
Developm Se
City of Springtield
S rtment Date
2r
ffi
I'1 FrR-25-97 L 1 :56 t:lI'1 - 59trA2A464-,462 955 22rA
10, IJ
ASPHALT COATING CO.
Seruing Oregon since 1974
Itate / / / iE?
D-:rr S ir
r()pose Eo liLrrnish all mat.crill s ariel pe rfi,r.rn all lab'or rlcccssarlr
to complr-te the fol.l oul n3
A1-[ r.rf t,he iti-)r.rt,(, ulrrk to be conpJ.ered in e sub:;rant ia1 and r^,e1-[pall1ike rlarrr]er
according to sturrdar'r ii(. l- i I lrr: Stlm Cfdp
f
t-r:s l-or
f?llars \LA/!flS,Q_-f_._*I
Pay t--t O L',:, mad e'
oas l.lrr: ur.:r k 1t; ()P,r(:ir
of all work cunrpler-
ACCF.P IED
:les L() tlr* r':r1Lre ,f r i:elrL D8
ed. The enrire amoLlnt of conrract to bc' p
c()mp l et ion.
oi d
x x
Arty rrlteration or (J(:viatiolr fronr t.lrr,:;ltrrrue speuliic:ritiorts irrvolvirrg exLr'a
cosLs t>f rratcriel (-)r l:rtr<>r vill onl-t,be execUtcd upotl urlttcn or,l*rs for::i,mc,
arrrl vi I1 hccomc ill e-Yf r(:r cliargc ovef f l-rC' L:rlrrt mr:nI.ititrC.l i n f lii -J culrtrS(.f.. All-
ai1 r eeilrt:rlt s nlt.lst bc m"rde in r.,ri:in8..
n-n L::i frriij Sr.rbmi L:ed,
llv
ACCNP'IANCIi
You ar e herctry allrth(,rlzed to f urni:;h al I miiLerial-'; crr,l labt'r reqrrired to
sa1 , f or whi t:l:_comp) rt e rhe work metilioned itr thc abtrvg prapo
agrcc to pay thc amourlt menLioned in -sa'i.d prolts'1lt1 , and ac'c'ordirrg t:o t
thcrcof.
e Lerfls
Datc :-,/ ^-l
-
P.L4 1
&.L,
P.O. Box 831 , Springficld, 0R, 97A?7 (503) 746-0'i85
Pl-easc g:'-gn & reLrrrrr orrc coDy.
Licun-tcrl' Bonded' Insttrcd
c(:ts# 8:166
(